Sanford, R. (2000, March). Caring through Relation and Dialogue: A Nursing Perspective for Patient Education. Advances in Nursing Science, 22(3), 1-15.…
Following the publication of the Francis report in 2013, which highlighted many failings within many areas of the healthcare service, these failings were brought to light through an investigation of the Mid-Staffordshire NHS trust but could easily be applied to NHS trusts across the country. As a result of this report and other similar failings, Jane Cummings (Chief Nursing Officer) suggested that within the field of nursing there should be a greater focus on care based practice. The way in which this practice is to be achieved is through the values stated within the 6C’s (Care, Compassion,…
"Understanding a patients individual needs and perception of health issues is fundamental to implementing a treatment plan with successful outcomes".(p.144) Communication is a very important aspect through the nurse and patient. It 's…
The goal of this relationship is not only to gather and give information but also is to promote healing and recovery of the patient. This is achieved through therapeutic communication which “ is the primary means through which nurse and client exchange information about health matters, plan treatment approaches, reach consensus about treatment decisions, conduct treatment activities, and evaluate clinical outcomes” (Arnold & Boggs, 2011, p. 175). Therapeutic communication has specific characteristics that make it different from social communication. According to Arnold and Boggs (2011) therapeutic communication is time limited, confidential, has defined format and health related purpose. It is client centered, which means it encourages client to express his feelings and ideas regarding his illness, and provides client with information and support need to reach maximum well-being. Therapeutic communication uses verbal and nonverbal strategies to show the interest of the listener and help clients to open up about their feelings. It starts with active listening, when the provider listens to the client and uses open-ended questions, general leads, restating, paraphrasing, acknowledging feelings, and reflection to encourage client to focus and continue expressing his feelings. The use of silence gives participants time to think and highlights important conversation points. Health care…
Before reading this article, I was aware that the nurse-patient relationship is the foundation of nursing practice, conjointly founded on trust, respect and empathy. From my personal learning perspective, I feel that I need to establish better opportunities for my personal and professional growth by overcoming obstacles to enhance and improve my patient relationships. In my own clinical practice, I tend to focus on the tasks at hand and less so on…
It is widely known that expectant mothers who utilise prenatal care, a more likely to have a normal and succesfgul pregnancy resulting im positive health outcomes for both mother and child. This also accounts for a decline in post natal depression rates as mothers have support from nurses throughout and after pregancy…
I believe that the core of nursing is in the nurse-patient relationship. Nurses have the abilities to develop a therapeutic relationship that focuses on the needs of the patients. The best way to achieve effective nurse-patient relationship is through communication. Communication barriers have been one of the major causes of poor patient care. And if these communication barriers were lifted, it can help the nurse earn the patients’ trust while also creating some boundaries.…
Research has shown that ineffective communication between physicians and nurses can result in missed or delayed diagnosis, unnecessary or repeated testing and over prescribing of medications (Espetin, 2010). It has also been shown that poor communication between team members can have a negative effect on patients in ways of psychosocial experiences. This occurs when patients are confronted with information depending on the nature and quality of information that is transmitted to them and can also affects the enactment and outcome of the decision making process regarding treatment opinions (Thorne, Bultz & Baile, 2005). As a result, patients are often dissatisfied with the amount of knowledge they receive from medical professionals and they, in turn, express that this is an area requiring improvement (Conn, Lingard, Reeves, Miller, Russell & Zwarenstein, 2010). As noted above, poor communication between team members often results in negative outcomes not only for the team itself but also for the patients. Because communication plays a vital role in effective collaboration, healthcare providers must address potential breakdowns so as to ensure productive dialogue and to create troubleshooting strategies. The College of Nurses of Ontario website states that communication is how nurses establish and maintain their therapeutic relationships by building trust, empathy and receptivity (CNO, 2006). This information is also applied to interprofessional collaboration. Effective communication strategies which strengthen nurse-patient relationships can also strengthen nurse – physician relationships. Since communication occurs both verbally and non-verbally, it is important to be aware of the many ways through which one communicates and to understand the fundamental role communication plays in patient care (CNO,…
This model helps to establish a trusting rapport between you and the patient. When dealing with patients on an everyday basis the nurse is the one who interacts with the patient the most and sets the tone for the relationship. Compassion and human touch are necessary for positive patient outcomes. Following this module reminds me and helps me to improve my delivery of care by allowing patients to communicate feelings while I actively listen to their needs. When I enter a patient’s room I survey the scene or take a holistic approach. I want to let this patient know I care about all of their needs and not just the medical concerns. The theory states “interconnectedness of one human touching or caring for another is a carative factor which promotes restoration of health and equilibrium” (Cherry & Jacob, 2011). After I introduce myself to the patient I immediately ask them how they are feeling or if there is anything that they are concerned about. I feel this gives the patient the opportunity to discuss concerns and allows time for therapeutic communication establishing a trusting nurse to patient environment. Watson’s carative factors help with caring or maintaining health even when a patient is terminal. I instill this theory through offering chaplin services to patients or assistance finding mental support for those that are terminal. I come in contact with many different cultures…
Currently I am a senior level 4 nursing student. With being a nursing student it requires many communication skills verbal and non-verbal. Various classes in the communication curriculum would be very beneficial to my major. For example, COMM 1018 interpersonal communication would be very helpful because with this class I would learn communication skills such as; looking for detailed feelings and face-to-face non-verbal and verbal cues. Having the knowledge that I have now if I would have taking communication classes earlier I may have had a better experience understanding the signs of pain that patients gave me without actually telling me.…
Communication provides a means for people to connect to each other and provides a bridge so that we can share information, signals, or messages between us (Giger, 2013). In the healthcare setting it is imperative that the communication between patient and provider be exchanged quickly, accurately and effectivity. One of the most demanding situations for members of a linguistic team is assisting the conversation between the healthcare professional and the patient (Issacs, Laurier, Turner, & Segalowitz, 2011).…
Nursing at its core is caring, empathy, honesty, trust, communication and respect. I believe the fundamental core of nursing is caring. If you cannot give of yourself to others you are missing the essence of nursing. “In 2003 the ANA stated that an essential feature of professional nursing is the provision of a caring relationship that facilitates health and healing” (as cited in Meyer & Lavin, 2005, para. 1). Another fundamental core of nursing is respect. The nurse must have respect for the patient and their beliefs. Without this basic respect there will remain a lack of trust on the patient’s part to divulge necessary information that can facilitate their recovery. Listening encompasses both verbal and nonverbal communication between the patient and nurse. Developing a relationship based on trust helps foster communication between the patient and nurse. Listening helps identify issues that can hinder the accomplishment of goals that have been set for the patient’s recovery. Jean Watson’s Caring Theory is comprised of ten carative factors that can foster a caring relationship between the patient and the nurse. According to Chantal Cara (A Pragmatic View, Introduction, para. 2) “upholding Watson’s caring theory not only allows the nurse to practice the art of caring, to provide compassion to ease patients’ and families’ suffering, and to promote their healing and dignity but it can also…
As a nurse, forming a caring and trusting relationship with my patient is very important to their overall outcome. By forming a bond, I am able to observe the true patient. Like any friendship, generally the patient will open up and begin sharing their true feelings of what is helping or what they are thinking in terms of their overall health and well being. This allows for easier detection of subtle changes that could mean life or death.…
In my context with the patient, it is important for me to improve the nurse-patient relationship. In this relationship, there is a sense of trust and a mutual understanding exists between a nurse and a patient that build in a special link of the relationship (Harkreader and Hogan, 2004). (Peplau 1952, cited in Harkreader and Hogan 2004) note that a good contact in a relationship builds trust as well as would raise the patient’s self-esteem which could lead to new personal growth for the patient. Besides, (Ruesch 2007) mention the purpose of the therapeutic communication is to improve the patient’s ability to function. So in order to establish a nurse-patient interaction, a nurse must show up caring, sincerity, empathy and trustworthiness (Kathol, 2003). Those attitudes could be expressed by promoting the effective communication and relationships by the implementation of interpersonal skills. Johnson (2008) define the interpersonal skills is the total ability to communicate effectively with other people.…
Neal (2003) states a therapeutic relationship can be described as being between nurse and patient and is based on patients’ needs for care assistance and guidance. It is a relationship that is established solely to meet the patient’s needs and is, therefore, therapeutic in nature.…